Case Study: Provision Living - Summit at Park Hills

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Case Study [PDF]


When it came to residents’ needs, the Summit at Park Hills in St. Louis, MO was stuck in a reactive mindset.

Residents were viewed as “difficult” when they displayed negative behaviors or were agitated. Hospitalizations were seen as a necessary part of care. And the common approach to reducing falls was to attempt to restrain residents.


The community implemented Dementia Capable Care training, which gave staff skills to respond to residents’ behaviors proactively.


With newfound confidence, aides and nursing staff began to anticipate resident behaviors. They now intervene before situations can escalate, which reduces difficult behaviors.

Within the first six months of Dementia Capable Care training, falls and UTIs were reduced.

Staff also developed a greater understanding of the negative impacts that hospitalizations can have on individuals with dementia. To help prevent unnecessary ER visits and hospitalizations, the nursing staff began providing more thorough assessments, and mobile X-rays were introduced.

This resulted in:
  • Only two ER visits and zero hospitalizations for the memory care unit.
  • Only 1% of residents in the memory care unit had falls resulting in serious injury.
  • Occurrence of UTIs decreased to 4% compared to a 5% occurrence in the previous reporting period.

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